| 9thunder Family Healthful Counselling Inc. | |
|
15208 Melbourne Ave # 222b Flushing NY 11367-1440 | |
| (646) 258-2382 | |
| Not Available |
| Full Name | 9thunder Family Healthful Counselling Inc. |
|---|---|
| Speciality | Counselor |
| Location | 15208 Melbourne Ave # 222b, Flushing, New York |
| Authorized Official Name and Position | Lihong Guo (OWNER) |
| Authorized Official Contact | 6462582382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 9thunder Family Healthful Counselling Inc. 15208 Melbourne Ave # 222b Flushing NY 11367-1440 Ph: (646) 258-2382 | 9thunder Family Healthful Counselling Inc. 15208 Melbourne Ave # 222b Flushing NY 11367-1440 Ph: (646) 258-2382 |
| NPI Number | 1336876184 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Medicare PECOS PAC ID | 7810360351 |
|---|---|
| Medicare Enrollment ID | O20230302001833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336876184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Shannalee Senior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073141529 PECOS PAC ID: 8527465368 Enrollment ID: I20230302001932 |
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